| NPI | 1144373168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CA A100583) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 238124) |
| 207N00000X Dermatology (Licence: NJ 25MA08016900) | |
| 207N00000X Dermatology (Licence: CA A100583) | |
| 207ND0900X Dermatology Dermatopathology (Licence: CA A100583) | |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: CA A100583) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: CA A100583) | |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2018-12-12 |